The purpose of this paper is identifying poliomyelitis which is a fecal-oral group communicable disease worldwide and discussing health interventions to control and eliminate outbreaks and considering ethical dilemmas. The pathogen of poliomyelitis is poliovirus, an enterovirous that is transmitted by fecal-oral route through feces. Respiratory inhalation occurs and the virus initially replicates in the oro-pharynx and then invades the gastrointestinal tract. It can be transmitted via fecal-oral, airborne, water-borne processes, and asymptomatic carrier. (WHO, 2009) Clinical manifestations range from asymptomatic self-limited disease and mild symptoms of combined fever, malaise, fatigue, nausea, headache, …show more content…
The vaccine regimen consists of three doses of inactivated polio vaccine (IVP) at 2 months, 3 months, and 4 months of age, with booster dose at 15 years of age. Live oral polio vaccine (OPV) is more effective because it provides intestinal protection in addition to humeral immunity. Public health care workers also can provide supportive care to the patients dealing with symptoms. (Barbara B., Stephen G. & Jane, J.2006) It is essential to maintain vaccinations in countries that are not endemic and also for people who plan to travel to countries where poliomyelitis is endemic. Prevention can also be achieved by improving personal hygiene, testing and regulating water supplies, and building and improving sanitation facilities. (Webber, R., 2010).
Concepts for controlling an outbreak Communicable disease